Krystle Bartley: For that you've done because did you have something else hit model, this is there something else that you guys get going on, too.
Kate Remick: Well, we, the facility recognition cloud was framed differently, because it was you know at a different level, I mean there are probably some similarities that we could pull out.
Kate Remick: But PR QC to point out will be like this mental health collaborative will be like this.
Krystle Bartley: The the smaller version of the pit did they take any you.
Kate Remick: know because they did a peck learning, it was a learning collaborative with nine States and they were working with the state partnership managers, but the pet workforce development collaborative would take this framework.
Krystle Bartley: And then give the chance to like I like those efforts in you know.
Krystle Bartley: You make sense.
Mike Fendya: and almost sounds like.
Mike Fendya: you're talking about an involving model to improve pediatric emergency care in this collaborative as you're branching out into mental health and other areas that you're talking about how this models lays the foundation or the building stones for that.
Mike Fendya: And maybe maybe that could be.
Mike Fendya: The focus this this model provides a foundation.
Mike Fendya: for improving and you could pull in some of the other areas that are beginning to utilize it and areas because the first one, the facility recognition model was sort of like this, but not as.
Mike Fendya: Robust if that's what you want to call her comprehensive was probably the best way.
Kate Remick: Well, and it was a different audience, because it was a partnership, so I think if we.
Kate Remick: I honestly think we should brand this not as the PR to see model, but as the msc innovation and improvements in our collaborative model so that it can be referenced like the ihi collaborative model, this is the ic collaborative model.
Krystle Bartley: Do we end up somewhere and it's probably on my computer the original rfp for Ai see from complete, like the very first one, because they asked for collaborative or network, it was some phrase that they put in there and then we literally wrote it.
Kate Remick: The mind.
Krystle Bartley: In right so maybe then bring up the thing that you know, yes.
Krystle Bartley: The old dcc had you know this design, but the beginning of this new work started with that new proposal for Ai see, and this is what we craft and this is how it's being adapted over the years right.
Kate Remick: I honestly think that this is what much more of a robust approach to say this is how we do it, because then really any future qr collaborative as we referenced this regardless of whether it's PR QC or something else.
Krystle Bartley: And that helps with the number the account word count, because then now you don't have to go back and describe all the little nuance.
Krystle Bartley: You know, learning session then damage right all of this stuff.
Kate Remick: yeah we all have to deal with any of that.
Mike Fendya: Well, and I think if you use the White Paper or approach or guidebook hot well, however, you decide to turn this.
Mike Fendya: utilizing the five step process having all of that included in that that gives folks an idea of how they could do something similar if they wanted to do something on a grander scale do they have the time and the fight finances far.
mm hmm.
Kate Remick: And they would claim it was the msc collaborative model.
Kate Remick: Collaborative model.
Krystle Bartley: i'm here for it, the only thing i'll say is a.
Krystle Bartley: cake, can you break this to.
Krystle Bartley: kill game.
Krystle Bartley: Yes, for a status update know like can see way to win today like.
Krystle Bartley: figure it out before.
yeah.
Kate Remick: yeah i'm happy to do that, I think.
Kate Remick: We probably need a mean honestly if we could pull.
Kate Remick: cuz there was, I know, there was the QA collaborative White Paper, which is great that atlas put out and that's Nice because it just talks about the value of July collaborative, but I think we really need to brand it and name it and so.
Kate Remick: I still think it should be published scholarly manuscripts what we probably need to do, though, crystal is sit down and really like hash out how do we flip this and maybe look at you know the land and model and be able to appropriately reference.
Kate Remick: You know those what.
Kate Remick: call out what's.
Different.
Kate Remick: And anything that's redundant, we could almost you know pull out, or at least just date night.
Kate Remick: But it does change things, because now, the introductory and introduction is you know really more about the msc Program.
Kate Remick: and about how we're trying to engage a large swath of the country diverse providers stakeholders in quality improvement work and to do so to more rapidly transform.
Kate Remick: The emergency care space we developed a new quality improvement collaborative model, the ic collaborative model and this paper describes the specific elements of that that build upon.
Kate Remick: You know prior.
models.
Krystle Bartley: And also what's unique about doing this type of work right.
Mike Fendya: yeah.
Krystle Bartley: Because, in the absence of a big academic children's hospital, how do you actually do this improvement work right.
Krystle Bartley: And it also you can also then highlight how we use our national partners.
Krystle Bartley: right that would give them a chance to really say like.
Krystle Bartley: You know, and looking at what you did for.
Mike Fendya: eat.
Krystle Bartley: For Ian a by itself right just going and pushing pushing pushing up there, like national conference to get stuff and you know what comedy sites in there, so.
Kate Remick: And I think, also the the role of state partnership managers, almost as the the team coaches are you know the role they can play, especially falling on the heels of.
Kate Remick: Erica Rachel in.
rene's White Paper.
Mike Fendya: yeah because I, I do think that that's a piece that's a critical challenge when you're trying to do something of this magnitude that's crossing state boundaries, because I don't know what goes on in Pennsylvania, as well as the Pennsylvania state partnership manager and how do you manipulate.
Mike Fendya: The surround the environment to support a collaborative that's in multiple sites where you don't really know what the nuances are.
Kate Remick: yeah and I think there were critical elements that can be described about you know environmental scan and things like that I think one of the really key pieces.
Kate Remick: Well, I don't know, maybe it's not for here, maybe it's the other.
Kate Remick: Just thinking about the level, you know some folks are so used to working at this like local level.
Mike Fendya: One local being their own facility right or maybe their own network if they've expanded out that far, but if they're not in a network.
Mike Fendya: If it's a hospital that's not an a network that refers a few patients or whatever, how do you pull them into a collaborative.
Mike Fendya: To improve the care what are some of the the tools like partnerships, why is there an ED Doc in the small hospital who's a member of ASAP and ASAP can help that physician.
Mike Fendya: get involved.
Mike Fendya: ariana.
Mike Fendya: For both.
Kate Remick: I I really like this, I know it shifted a lot crystal, but I think it's a great.
Krystle Bartley: showed up.
Krystle Bartley: The Nice part is that we've written a nice chunk of it, and now you just got to put place where you want it with it, where you want to go and then add new sort of framework, but I don't think any of this still is in vain still use it for like the going.
Kate Remick: I think one of the big pieces, that we need to highlight in here and I can't recall if we highlighted is the asynchronous model of the collaborative meeting everyone's not going through a pdsa cycle, at the same time.
yeah.
Kate Remick: And maybe I don't know if a synchronous guess it is asynchronous but that applied to education means something different, and still everyone still connected and in person, but the timing of those pdsa cycles is.
Highly variable.
Krystle Bartley: I mean it's hard to do, everyone on the same cycle, at the same time, unless you are like within a system like you're like it's a tch campus and it's all four campuses or something right, and then you have greater control but there's no way I mean you can do it.
Krystle Bartley: But it's hard to do.
Krystle Bartley: So we can at least prove that you can still track and monitor progress.
Mike Fendya: They saw they saw a tree.
Mike Fendya: allows the greater opportunity to learn from one another.
Mike Fendya: And and that's a piece that I hadn't really it's it sounds easier to put everybody on the same cycle and doing the same thing at same time, but the learning opportunities are realistically it it can't happen that way, but the learning opportunities are enhanced when it's a synchronous.
Kate Remick: Other pieces We broke it into.
Kate Remick: We took one big you know global plan, but we broke it up into bite sized pieces to create menus of options, but they're all really towards the same goal would be like taking this sepsis collaborative and saying.
Kate Remick: Rather than building a clinical pathway on sepsis we're going to show you the bite size pieces and you choose where you're at yeah.
Kate Remick: So we really broke it into its parts, as opposed to.
Kate Remick: presenting it all at once, to simplify it I don't know if that speaks to you at all crystal, but these really aren't these aren't divergent bundles they're actually all very much aligned, they just.
Kate Remick: allow for.
Kate Remick: individualized choice.
Krystle Bartley: mm hmm.
Mike Fendya: And then choice, I think, I think, by whatever they chose to do frequently included the available resources they have that they could utilize in trying to implement.
Mike Fendya: The individual cycles, because sometimes I think the approaches had to be adapted, because they didn't have what we've specifically was recommended at the time.
Krystle Bartley: We can do it.
Meredith Rodriguez: So what's our next steps and how do we do on a draft something so new I take the first stab at kind of this thing where you're doing one.
Kate Remick: crystal would you kill me if you if you and I sat down and partner through some of the pieces.
Krystle Bartley: No, no, no, that would work, so we could when Am I thinking we could we could start before at least let's get an outline to get like some of these concepts on paper right, so the least we can get the general thoughts out.
Krystle Bartley: let's brainstorm and then it's cranking you can just.
Meredith Rodriguez: And I just sit and listen, I think I would learn.
Kate Remick: yeah, of course.
Kate Remick: yeah were you thinking is so sorry crystal you said what am I going to see you did you mean when you're coming to Austin.
Krystle Bartley: Is that what you're thinking like maybe we start before then like yeah because it's almost like a one way to Muslim.
Kate Remick: OMO meredith crystal is coming for our EIC operations retreat and on the 10th she's going to be.
Kate Remick: Helping to push out the QA education for the EIC project managers i'm wondering I if I don't know how stress is not going to go be too stressful going into it, what if, on the Sunday before we met.
Kate Remick: Because I think that Monday night we had a dinner planned with the whole group, it would be bad if I missed it.
Kate Remick: yeah.
Meredith Rodriguez: i'm.
Meredith Rodriguez: gonna sit down and hash it out yeah.
Kate Remick: Could you come in on the ninth.
Kate Remick: minute yeah.
Kate Remick: And crystal you'll be in on the ninth right now.
Kate Remick: Okay Diana you want to come.
Meredith Rodriguez: And Austin and Apollo been like at least the 16th.
Mike Fendya: I was gonna say is probably bound to be there, what is here.
Kate Remick: You remember the snow apocalypse last year.
Kate Remick: No one can predict, well, we can at least sit down and hash that out, I think, and then.
Kate Remick: we'll walk through I mean, I think we need to have the like the land and Article and I HR I and.
Kate Remick: Honestly, I think we're going to need to create a visual.
Kate Remick: Of these cycles, just like you know the ihi you got that you know the pdsa cycles going up the ramp and what.
Kate Remick: Did you say pdsa and instead we're going to need almost like not concentric but offset circles of pdsa cycles to demonstrate.
Kate Remick: I don't know we're gonna have to come up with some visual so that people understand it.
Mike Fendya: You probably need bendy when she drew the the visual for the trauma paper for rehab she got a phenomenal job on that and I did she just took the major areas and did.
Mike Fendya: I would say she I guess there's a is there a program that you can actually pull out a representative of I know somebody running maybe for her, she had oh one for.
Mike Fendya: Cast you know people, people who needed help with walking so they had a Walker they had those pieces.
Mike Fendya: They had a rehab doctor or surgeon who was involved the kid comes to the ED so you have a hospital with the ED and then you have the trauma team, and then you have.
Mike Fendya: You know the rehab facilities should be called in at the beginning and frequently isn't but yeah her graphic that she did turned out very, very nice.
Mike Fendya: And it there was somebody who did a class on those i'm trying to think where that was that it was.
Mike Fendya: Wake forest they had a trauma meeting and the whole meeting was the notes were taken via pictures, there were no words, it was all picture visualization there's somebody who does it up there.
Kate Remick: yeah I mean, I think, to try to decide what components, with the plan that this is a image that would be.
Kate Remick: is repeatedly over time to describe.
looks like.
Kate Remick: crystal I feel good about this, or do you feel like.
Krystle Bartley: i'm here to the graphic is i'm like oh that's true, though most people will just save that graphic in that becomes what they remember about it, you.
Krystle Bartley: Know i'm this is, I mean it would be beautiful to get this published, because this keeps I mean you know how many times we've had to have the discussion with someone about this is a collaborative like.
Krystle Bartley: What they do like just a little paper and say no, we just go, we you know we're going to do a little bit of this a little bit of that, but not all that.
Krystle Bartley: yeah I mean literally Look how many months it takes.
Krystle Bartley: To like get somebody ramped up and ready for this on you could put it in the paper and game yeah.
Krystle Bartley: This makes sense, this is a better use of of what we've done because the other version may have just been passively, you know saved somewhere, but it's actually would have some links to some.
Meredith Rodriguez: degree to get elevated.
Kate Remick: diane a feel good about it.
Mike Fendya: yeah I do, I will I I do think having a guidebook would be helpful to others, and I since it's already put together, basically, you could have that available on the website as an EIC product.
Mike Fendya: which will probably somewhat pacify person I would think, but having it published and talking about the importance of it and how what the critical focus points were.
Mike Fendya: and learning points that actually helped drive the improvements in care, I think folks will add does elevated and I think it will be more helpful to people.
Mike Fendya: I like the recipe book for those folks who actually want to refer and find out what the specific.
Mike Fendya: Steps are but to actually sit there and read it, I probably wouldn't read it, unless I was going to embark on one, so you first have to sell me on the idea, and I think the new model focusing on that probably will do that, or at least I would think it would.
Kate Remick: Well i'm excited about this thanks for like.
Kate Remick: brainstorming and hashing this out, I mean honestly i'm really i'm really excited we put so much during work into this and be able to.
Krystle Bartley: yeah Diana you thought that Oh, this will be my swan song.
Krystle Bartley: And this and.
Krystle Bartley: Is.
Mike Fendya: Death that's come out of.
Krystle Bartley: It I can keep it to keep it keep did hold on me.
Mike Fendya: Well, I all I can say is at least the people involved with it are fun and it's it's worthwhile getting back together because I told Mike today, we were out Oh, we were out.
Mike Fendya: shopping and picking up some odds and ends and I said to him, I said I gotta be back by 330 I have a call, he says, what do you mean you have a call you don't have any calls anymore so yeah with came crystal it goes huh what.
Krystle Bartley: was overly.
Kate Remick: i'll tell diane silky the reason we're delaying it is so we keep getting to meet up with Diana.
Mike Fendya: And I might consider coming in, if you really need me, but I think you ladies have got it under control, I hear hear good things coming, so I.
Kate Remick: was half joking.
Oh.
Kate Remick: you're welcome to join us.
Kate Remick: But I do yeah.
Mike Fendya: yeah well, you can always do me and I guess at a specific point you know get your discussions and.
Mike Fendya: have your graphic where you think you're going to be going with it and i'll dig around through some of my stuff that's where I got rid of most of my stuff but if I can find the stuff from wake forest who those people were who drew the graphics and.
Mike Fendya: benny's I probably have her paper here what she in.
Kate Remick: Crystal and married, I think we have immense visualization talent, these two.
Mike Fendya: Probably do I know meredith could probably draw them out of it it's like finding those critical points that need to be visualized and once you identify those then what's, the best thing to represent it.
Mike Fendya: And she did a good job, but I think once we all saw that we felt like we had a good feel for what the process should be for pete's rehab and.
Mike Fendya: We had talked to round and round and round about it and, finally, we had a graphic of it so i'm hoping that Lisa is able to move forward with that with Christian but.
Kate Remick: I think she's working on it so.
Kate Remick: Good she's joining.
me.
Krystle Bartley: Put it together it's you Diana.
Krystle Bartley: boy she needs a wiki.
yeah.
i've been.
Krystle Bartley: On a call with this person and i'm like.
Krystle Bartley: Why is your name like speaking out, it was like I couldn't put it together.
Krystle Bartley: yeah now, it makes total sense.
Krystle Bartley: It was literally like he and I was like i've seen your name before like I put I put it together good job okay.
Mike Fendya: Well it's just interesting I never worked really at Texas children's and yet Christian and I became very good friends and he really didn't want to talk to other people unless he talked with me first and.
Mike Fendya: We finally got it taken care of that he understood that he had to go another direction.
Mike Fendya: To get his paper written so i'm glad he's working with Lisa and i'm glad she's she I know she's busy i've texted her a couple of times and shield she responds and so yeah, we need to talk, but I don't hear from earth, therefore, I know that she's busy so but.
Mike Fendya: i'm glad that part has worked out well for.
Kate Remick: Trolls she's really I think gotten into a groove and she's working great with Aaron.
Krystle Bartley: Johnson and.
Kate Remick: Go dying they're awesome trauma.
Mike Fendya: Good that's great very good.
Kate Remick: um alright so i'm going to look on a pull out the land and Article again and some of these others and i'm just wondering if maybe our homework can be to at least write down some of these thoughts I mean Do we really think we can't make progress, I guess, until her in person right.
Krystle Bartley: No, I think we can start the outline work on an outline or get those initial thoughts together and then.
Okay.
Meredith Rodriguez: yeah.
Kate Remick: So should we, with that in mind, do we need to get back on the bandwagon and try to meet.
Kate Remick: I kind of think meeting as a small group is better than getting everyone together, and then we can represent once it's all yeah.
Meredith Rodriguez: it's just hard when there's.
Kate Remick: Like seven of us on the.
Krystle Bartley: Winter yellow meeting.
Krystle Bartley: Again, like you got anything the week of the 13th through the 17th i'll come on it, you got anything between the week of 13th through the 17th.
yeah.
Kate Remick: I have a lot of availability on.
Kate Remick: The 15th and.
Kate Remick: 16th 17th could work too, so is their preferred day.
Kate Remick: And daily may 17 is Tom sorry release out of it.
Krystle Bartley: So the afternoon and the 15 anytime between one to five works for me.
Kate Remick: afternoon of the 50 yeah i'm good after 2pm so you want to sign on to.
Meredith Rodriguez: All right.
Thanks.
Meredith Rodriguez: Because it shouldn't call it the peer to see my paper anymore.
Krystle Bartley: yeah.
Kate Remick: I mean, I guess, it needs to be icy not a messy.
Kate Remick: So.
Kate Remick: Collaborative yeah I see collaborative design.
Meredith Rodriguez: work like that.
Kate Remick: Collaborative model.
Meredith Rodriguez: You know, current model is.
Kate Remick: there's one thing I learned from Mary and its brand early.
Mike Fendya: Your pride she does do that you're absolutely correct I hadn't even thought about that, but yeah she did she branded very early.
Kate Remick: To get a logo.
Kate Remick: Alright, I mean it's a little brazen I think it's you know, but I think it's appropriate, and I think that it aligns with the kind of work that we're trying to do so i'm excited.
Kate Remick: Okay, so outline how about this, my homework is i'm going to come back with some suggestions around differences from land and paper.
Kate Remick: crystal if you want to start on kind of an outline and then meredith, what do you, you probably don't need to do anything specific right now, unless you want to think about a visual.
Meredith Rodriguez: I say, maybe i'll try to start thinking about visualizing this, but I know, right now, this is a tornado.
Mike Fendya: Correct those tables that were.
Meredith Rodriguez: developed by.
Kate Remick: yeah anyway Diana you don't have to join that 15th if you don't you know.
Mike Fendya: If nothing's going on just send me an invite if nothing's going on, I may be happy to join because it's nice to just catch up and hear what you guys are doing.
Mike Fendya: I don't want to hold you back, though I guess that's what i'm saying at this stage the game, so I know there's a lot of work.
Mike Fendya: that's going to have to occur in order for this to get accomplished and i'm sure looking at pelkey notes, I can tell that she's very anxious about getting this first paper or this paper done so.
Mike Fendya: And having a time frame and I, that would be the other thing I would suggest, as you think about your outline.
Mike Fendya: Think about a time line that you think you could accomplish that to keep her off your back.
Kate Remick: Well, to align with this weight and kilos paper, it would be ideal if we could aim for the end of January yeah.
Mike Fendya: yeah okay.
Kate Remick: I haven't submitted I don't know what you guys think but.
Meredith Rodriguez: I think we can do that, like crystal said a lot of the bones are there, we just need to restructure and rephrase a little bit, but I think I think we can do it.
Mike Fendya: I know you can do it.
Mike Fendya: So yeah if there's things that can help with let me know but I, I think the new direction is a good direction and I.
Mike Fendya: I just would hate to lose all of the work that went into the tables and that and re crafting that as a White Paper as a guide book and another resource that the ic can take credit far I think is important.
Kate Remick: Well, I think what What would the nice piece about this is on the QA collaborative page then meredith you would have our model.
Kate Remick: As a menu item.
Kate Remick: And you would click on it, and our model would have like a very brief like 300 word descriptor 200 word descriptor the image that we're going to create and the table of the elements that we include.
Kate Remick: And from there on out our model is on the website, but also and reference here with our you know publication.
Mike Fendya: yeah and if I if things are still the same that model would not need to necessarily go through.
Mike Fendya: Oh, and be Clarence you wouldn't have to that to get it posted that to get pelkey off your case about that, but it would also give.
Mike Fendya: The pay the new paper would.
Mike Fendya: give more recognition to that model and that msc was I don't know the motivator fart or however you want to describe what their role is.
Mike Fendya: yeah ISM some credit, which is what they desperately need obviously mm hmm.
yep.
Kate Remick: yeah I think that sounds really good.
Kate Remick: And then we want was the table, but we just have to get it submitted.
Mike Fendya: Well, just let me know if there's something I can do to help, but I like I said I think you've got a good direction going and.
Mike Fendya: You could you ladies can handle it.
Kate Remick: Okay, we appreciate your moral support.
Kate Remick: yeah um alright so we'll meet back on the 15th and then we'll decide a cadence after that, depending on where we're at with it okay yeah okay.
Mike Fendya: very, very good, well if I don't talk to you guys have a wonderful holiday, whatever it is that you're doing and that.
You today.
Mike Fendya: Well i'm going to have a good one, again I despise Colvin it's been a real pain, but at least it's families all doing well and that's the important piece and.
Mike Fendya: we've now have all seen each other once together and now yeah we've seen them sporadically spread out but it's it's good it's good that.
Mike Fendya: i've got the time to do those things, because those those are i've come to realize how important those are and not that I want to go see Rudolph but I will go see Rudolph.
Kate Remick: it's time with the people you care about.
Mike Fendya: yeah right that's right important things.
Kate Remick: All right, ladies, where you have a.
Mike Fendya: Good holiday okay.
Kate Remick: To try.